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Articles 2191 - 2220 of 5875
Full-Text Articles in Medicine and Health Sciences
Developing A Tai Chi Education Module For Nurses, Edna Green
Developing A Tai Chi Education Module For Nurses, Edna Green
Walden Dissertations and Doctoral Studies
The U.S. population is living longer, which leads to challenges with chronic conditions that attack their health and well-being. Chronic diseases also cost $ 3.8 trillion dollars every year in the United States. According to the Centers for Disease Control, there are four behaviors that cause many of the chronic preventable diseases: lack of physical activity, excessive alcohol, smoking, and diet. Alternative strategies including physical activity like Tai Chi can improve health outcomes for older adults with chronic disease. The purpose of this Doctor of Nursing Practice project was to develop a Tai Chi education module for nurses who provide …
Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway
Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway
Walden Dissertations and Doctoral Studies
AbstractClostridium difficile infection (CDI) is a major nosocomial threat to be reckoned with in the current health care setting in the United States. Advancing age, underlying chronic disease associated with inflammation (including Diabetes Mellitus Type I ([DMI]), Diabetes Type II ([DMII]), and obesity), trauma, immunodeficiency and other factors that diminish the overall health of an individual, and increase an individual’s susceptibility to CDI. The ecological framework was used to determine the relationship between geographic, chronic diseases and the occurrence of infectious diseases. To continue enhancing knowledge related to CDI susceptibility this quantitative study used the 2010 National Hospital Discharge Survey …
Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike
Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike
Walden Dissertations and Doctoral Studies
Pain is a common symptom in healthcare settings, especially among patients with Alzheimer's Disease (AD). AD patients have cognitive and communication impairment making it difficult or impossible for them to communicate their pain to their caregivers or healthcare practitioners. The purpose of this project was to implement a staff education program for healthcare professionals on evidence-based practices for assessing, recognizing, and managing pain in patients with AD. The practice-focused question explored if a staff education program on identification, assessment, and management of pain in patients with AD improves the staff's knowledge, skills, and attitude towards timely and effective pain assessment …
Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick
Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick
Walden Dissertations and Doctoral Studies
The specific research problem that was addressed through this study is the low rate of postpartum visits among Medicaid-enrolled women, leading to increased postpartum complications and readmissions. The purpose of this quantitative study was to evaluate if hospital readmissions can be reduced by integrated care home visiting services relating to postpartum visit compliance. The research questions evaluated the relationships between postpartum visit compliance, hospital readmissions among Medicaid-enrolled women in Indiana, and an integrated care home visiting program. The Donabedian model for quality-of-care grounds this study and is based on structure, process, and outcome. Through this model, healthcare leaders can evaluate …
Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson
Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson
Walden Dissertations and Doctoral Studies
Suicide is the second leading cause of death among adolescent, teens, and young adults. Suicidal ideation is a predictor of suicide attempts. Guided by the integrated motivational-volitional model and social cognitive theory, Youth Risk Behavior Surveillance Survey data were used to investigate whether traditional bullying, cyberbullying, and participation in physically violent behavior (independent variables) were associated with suicidal ideation and behavior (dependent variables) among African American high school aged youth controlling for age, gender, physical, and sexual abuse. It was found that experiencing traditional bullying increased suicidal ideation significantly, as there is an 82% increase in likelihood. There was also …
Microaggression Experiences Among African American Women And Their Effects On Health In Academia, Anta'sha Moni Jones
Microaggression Experiences Among African American Women And Their Effects On Health In Academia, Anta'sha Moni Jones
Walden Dissertations and Doctoral Studies
Racial microaggressions are brief daily negative verbal behaviors and environmental slights directed as intentional or unintentional towards minorities. These negative interactions lead minorities to feel powerless and oppressed in their environments. These adverse experiences result from stressors in their environment that negatively affect the human body by causing acute and chronic stress. This qualitative study aimed to investigate the relationship between personal, racial microaggression experiences, and their impact on health through a phenomenological approach. The critical race theory provided a framework to explore and understand how systematic discrimination experiences impacted the 17 African American faculty member participants’ health. A phenomenological …
The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph
The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph
Walden Dissertations and Doctoral Studies
Lack of patient compliance is a dangerous, widespread problem, often linked to a patient’s misunderstanding of their diagnosis or treatment plan. This project’s practice questions pertained to exploring the impact of a staff education update on visual presentation and patient evaluation with patients taking factor Xa inhibitors in oral anticoagulants and how the staff education increased patient compliance while taking these medications. A combination of the ADDIE model and Kirkpatrick model were used in the planning, development, and evaluation of this project. A pre and post evaluation survey was used to determine the efficacy of the changes made within the …
External Validation And Modification Of A 30-Day Readmission Risk Prediction Model For Heart Failure Patients, Debra Kelly
External Validation And Modification Of A 30-Day Readmission Risk Prediction Model For Heart Failure Patients, Debra Kelly
Walden Dissertations and Doctoral Studies
The development and validation of 30-day readmission risk prediction models, such as the LACE index, have been of interest to researchers and healthcare organizations, especially since the Centers for Medicare and Medicaid Services began to impose monetary penalties on hospitals with higher than expected 30-day readmission rates. However, there is a lack of consensus concerning the efficacy of the LACE index in the heart failure population. The purpose of the study was to examine the discriminative accuracy of the LACE index to predict all-cause 30-day readmission for heart failure patients and to build a modified 30-day readmission risk prediction model …
Perceived Discrimination As A Moderator Of The Relationship Between Allostatic Load And Asthma Control, Vera Kern
Walden Dissertations and Doctoral Studies
While asthma prevalence in the United States is generally declining, African Americans tend to experience poorer outcomes regarding asthma severity and control. The purpose of the present study was to test whether discrimination (everyday and lifetime) moderated the relationship between allostatic load and asthma severity/asthma control (dyspnea and peak flow). In previous literature, researchers established the relationship between allostatic load and asthma severity/asthma control among African Americans. The biopsychosocial model and allostatic load theory served as the theoretical frameworks for this study. In this cross-sectional, nonexperimental, quantitative design, 201 African Americans between the ages of 34 and 82 years were …
The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo
The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo
Walden Dissertations and Doctoral Studies
Teenage pregnancy has adverse social, economic, and health consequences for adolescents. Pregnancy in adolescence is linked to high school dropout, high unemployment, stigma, low income, financial hardships, anxiety, and depression.. The purpose of this phenomenological research study was to understand the socioeconomic factors that impact young mothers aged 17 years and younger in low-income communities. Schlossberg's transition theory guided this study. Fifteen young women ages 18 and 24 who were either pregnant or had given birth before age 17 years and under were recruited through purposive sampling and interviewed using in-depth key informant interviews. Audio recordings of interviews were transcribed, …
Assessing The Relationship Between Automated Technology Expenditure And Revenue Cycle Performance, Kelsey Macapagal
Assessing The Relationship Between Automated Technology Expenditure And Revenue Cycle Performance, Kelsey Macapagal
Walden Dissertations and Doctoral Studies
Despite evidence that the automation of administrative processes may lead to both cost reductions and performance benefits, there was little to no empirical evidence that holistically examined the impact of technology within the healthcare revenue cycle. The purpose of the current quantitative study was to examine the relationship between automated technology expenditure and revenue cycle performance. Correlational analyses were used to determine the relationship between automated technology expenditure and labor, revenue, and denials, respectively, within the revenue cycle of a single, multi entity health system in California. Regression analysis was used to determine the relationship between variables over a 4-year …
Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen
Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen
Walden Dissertations and Doctoral Studies
AbstractThe 21st century has brought about an increase in the popularity of social media networking usage on a global level, especially among college students. Social connectivity has become a vital part of the daily lives of college students, providing connections with their educational, personal, and social lives. The purpose of this qualitative study was to explore the actual experiences and self-reported perceptions of health/safety risks in college students using social media networking sites and to assess whether critical thinking skills were employed. The sample size of the targeted population was 23 volunteer college students, recruited from the Walden University Participant …
U.S. Military Treatment Facility Reform: Decision-Based Plan Of Action And Milestones, Sean E. Marshall
U.S. Military Treatment Facility Reform: Decision-Based Plan Of Action And Milestones, Sean E. Marshall
Walden Dissertations and Doctoral Studies
In 2017, the U.S. Congress mandated a specific reorganization and centralized approach in military medicine. The Air Force developed a medical reform construct to organize military treatment facilities (MTFs). The leaders of each unit are required to comply with the reorganization using internal resources with no additional funding or personnel. The purpose of this study was to deliver a plan of action and milestones (POAM) suitable for workgroup implementation to achieve the mandated health unit integration at a medium-sized MTF. The practice-focused question asked how a POAM road map guides effective decision-making. A consultancy approach was used to assist leadership …
Relationship Dynamics, Sexual Practices, And Hiv Risk Of Black Behaviorally Bisexual Women, Dajaneil S. Mccree
Relationship Dynamics, Sexual Practices, And Hiv Risk Of Black Behaviorally Bisexual Women, Dajaneil S. Mccree
Walden Dissertations and Doctoral Studies
The human immunodeficiency virus (HIV) risk that exists among women who have sex with women and men (WSWM) is influenced by behavioral factors related to condom use and penetrative sex with sex toys and body parts. Although women represent a large percentage in HIV diagnoses, research has lacked in determining the sexual behaviors that exist behind health-related risks of young women who have sex with women (WSW) and HIV. This study fills the gap in literature in HIV prevention and testing interventions for WSWM by representing Black young adult WSWM in behavioral research, identifying how their lived experiences in relationships …
Intimate Partner Violence Education In An Outpatient Setting, Juddy Morgan
Intimate Partner Violence Education In An Outpatient Setting, Juddy Morgan
Walden Dissertations and Doctoral Studies
Intimate partner violence/domestic violence (IPV/DV) has been a widely recognized yet preventable public health concern. Despite the increased attention to IPV/DV, there has been a lack of knowledge in recognizing its symptoms and referring victims to appropriate community services by staff in a mental health outpatient clinic. The purpose of this project was to provide the clinic staff with the knowledge to recognize symptoms of IPV/DV victims and refer them to appropriate services within the community. The educational intervention was designed to increase the clinic staff’s knowledge of recognizing victims of IPV/DV; becoming familiar with the Hurt, Insult, Threaten, Scream …
Association Between Opioid-Related Emergency Department Visits And Financial Liability Of Hospitals, Mary-Zitta Muabe
Association Between Opioid-Related Emergency Department Visits And Financial Liability Of Hospitals, Mary-Zitta Muabe
Walden Dissertations and Doctoral Studies
Emergency departments (EDs) are experiencing an influx of patients with opioid-related which result in increased opioid misuse, abuse, and overdoses. The purpose of this study was to examine the relationship between opioid-related ED visits and financial liability of hospitals by evaluating if an increase in opioid-related ED visits leads to an increase in average ED visit costs. The framework used for this study was Reason’s theory of failures, which involves improving healthcare maturity in terms of risk management, achieved through enhanced efficiency. The analyzed research questions included analysis between the number of opioid-related ED visits and financial liability of hospitals …
Staff Education For Obesity And An Evidence- Based Checklist To Manage Obesity, Veronica B. Nelson
Staff Education For Obesity And An Evidence- Based Checklist To Manage Obesity, Veronica B. Nelson
Walden Dissertations and Doctoral Studies
AbstractObesity is a global problem that affects individuals of all ages. It results in a myriad of adverse health effects for children and adults. It is a preventable condition that can lead to a host of physical and psychological health conditions. Despite numerous attempts to decrease the incidence and prevalence of obesity, it continues to be a persistent problem. Efforts to decrease its incidence and prevalence are thus warranted within the nursing profession. Obesity management is inconsistent in clinical practice. This project aimed to deliver an education program to the staff of a pediatric clinic who serves many obese clients. …
Stigma And Discrimination’S Effect On Hiv Testing Of Pregnant Women In Nigeria, Charles Echezona Nzelu
Stigma And Discrimination’S Effect On Hiv Testing Of Pregnant Women In Nigeria, Charles Echezona Nzelu
Walden Dissertations and Doctoral Studies
The utilization of HIV testing services among pregnant women in Nigeria has not been optimal. Although much is known about the determinants of HIV testing among pregnant women, there is a gap in knowledge on determinants for pregnant women infected with the virus, specifically whether stigma and discrimination are barriers. The purpose of this study was to examine the effect of stigmatizing attitudes and personal knowledge of discriminatory practices towards persons living with HIV/AIDS on the decision by pregnant Nigerian women aged 15-49 years to test for HIV during antenatal visits or childbirth. The health belief model served as the …
Acculturation And Emotional Eating Among Arabic Middle Eastern Women In The United States, Sherri Alizz Roohi-Booroujeni
Acculturation And Emotional Eating Among Arabic Middle Eastern Women In The United States, Sherri Alizz Roohi-Booroujeni
Walden Dissertations and Doctoral Studies
Obesity is a substantial problem that occurs worldwide and is highly associated with increased risks of chronic diseases such as Type II diabetes mellitus, cardiac-related diseases, hypertension, and some cancers. Middle Eastern cultures have one of the highest rates of overweight and obesity, estimated to be the second highest worldwide. The purpose of this study was to examine the relationship among stress, depression, emotional eating, and weight gain in Middle Eastern women, specifically Arabs, who have moved to the United States, using a quantitative approach. The theoretical foundation was psychosomatic theory, which explains the connection between psychological problems and emotional …
Completion Times For Computerized Tomography Tests And Walkout Rates In The Emergency Department, Chinyere Rumph
Completion Times For Computerized Tomography Tests And Walkout Rates In The Emergency Department, Chinyere Rumph
Walden Dissertations and Doctoral Studies
AbstractThe efficiency of the emergency department (ED) is important in the provision of quality patient care, which includes avoiding long wait times for tests and treatments. EDs may be overcrowded and understaffed, leading to increased wait times for tests. One of the areas overwhelmed by increased ED cases concerns the number of requests for computerized tomography (CT) scans, which may result in patients leaving the ED before care is completed. The three research questions for this quantitative study focused on the age of patients and CT scan walkout rates, completion time and CT scan walkout rates, and the number of …
Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders
Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders
Walden Dissertations and Doctoral Studies
AbstractNoise levels can negatively affect a patient’s hospital experience. Increased noise levels in the hospital can trigger sleep disturbance and affect the length of recovery for patients; the increased noise levels can also cause increased anxiety and exhaustion for nursing staff members. Due to a gap in nursing practice related to nurses’ knowledge to safely reduce noise levels, this project addressed if nursing staff education on noise reduction could increase the knowledge among nursing staff members to use specific strategies to reduce noise levels in an intensive care unit (ICU) setting. The purpose of this project was to educate eight …
A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler
A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler
Walden Dissertations and Doctoral Studies
To manage difficult behaviors and ensure the safety of clients and staff, behavioral health organizations have often relied on restrictive interventions such as seclusion and restraint. Although organizational leaders are increasingly seeking alternatives, there is very little literature or organizational practice knowledge addressing this issue. The purpose of this qualitative study was to explore, from an organizational leader’s perspective, sustainable best practices after the leaders of a behavioral health organization in the Southeastern region of the United States adopted a statewide initiative to reduce and eliminate restrictive intervention by transitioning to a no seclusion policy. The Baldrige Excellence Framework was …
Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth
Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth
Walden Dissertations and Doctoral Studies
In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated …
Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah
Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah
Walden Dissertations and Doctoral Studies
Promotoras are frontline community health workers who help link Latino community members to health and social services. Latino women have high rates of attrition and lack of participation in weight loss programs due to various barriers, and the promotora model is vital to address these concerns. The approach incorporates strong family support and influence to address health and social issues through interdependent ties of promotoras and families who live and work within the community they serve. The purpose of this qualitative study was to explore how promotoras influenced the acceptability of and participation in physical activity and dietary modification programs …
California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic, Stacey R. Varga
California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic, Stacey R. Varga
Walden Dissertations and Doctoral Studies
A lack of adequate healthcare access can negatively affect asthma management. The purpose of this study was to understand whether there was an association between source of care and asthma management. This study provides important insights concerning the changing landscape of how individuals receive asthma treatment and manage their asthma during a pandemic. Asthma management and asthma care have been studied; however, results have been inconclusive in relation to the barriers to health that are experienced among various adult age groups. Identifying additional subgroup characteristics could provide insight into where health practitioners, practice management, and policymakers direct healthcare resources. The …
Environmental-Induced Anxiety And Ethnicity As Predictors Of Hypertension Among Black Men, Twan Delast Weaver
Environmental-Induced Anxiety And Ethnicity As Predictors Of Hypertension Among Black Men, Twan Delast Weaver
Walden Dissertations and Doctoral Studies
Black men in the United States have the highest prevalence rate of hypertension compared to men and women of other ethnicities. Despite numerous health promotion and education programs tailored toward reducing hypertension among Black men, a gap exists in research regarding how environmental-induced anxiety and ethnicity may be associated with the occurrence or presence of hypertension among Black men. Using the reasoned action theory as a theoretical guide, this quantitative cross-sectional study incorporated four research questions to investigate if there was an association between environmental-induced anxiety (community violence, low income), ethnicity, and the risk of hypertension in men when age, …
Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis
Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis
Walden Dissertations and Doctoral Studies
Clostridioides difficile infection (CDI) is a local, national, and global issue impacting patient outcomes and healthcare organizations. CDI is costly to treat, painful, and at times deadly. Given an increase in CDI over the past year at the project site, the current gap in practice is the nonadherence of nursing staff to using a CDI bundle. This project addresses that gap. The practice-focused question targeted at nursing staff (N = 18) on an adult medical-surgical unit in an acute care hospital and asks whether education on use of a CDI bundle would result in a knowledge gain about the importance …
Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung
Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung
Walden Dissertations and Doctoral Studies
Despite extensive research revealing the dangers of physical restraint use, it remains a common practice in critical care settings across the globe. Nurses stand at the forefront of clinical decision-making regarding the use of physical restraints but are doing so with a lack of education and evidence-based practices. The project addresses whether an evidence-based educational program regarding the use of physical restraints and alternative measures is an acceptable method for intensive care unit (ICU) nurse education according to six local subject matter experts (SMEs). The project’s purpose was to create an educational program outlining physical restraint evidence and alternative measures …
Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla
Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla
Walden Dissertations and Doctoral Studies
Influenza is a public health concern that claims up to 56,000 lives annually in the United States, though it is a vaccine-preventable disease. Influenza vaccination among health care personnel (HCP) is highly encouraged to prevent influenza transmission in health care settings. The objective of this study was to examine the relationship between mandatory reporting of HCP influenza vaccination rates (implemented in 2012) and HCP influenza vaccination intake in a health care network with 20 hospitals. The protection and motivation theory was used as the theoretical framework. Data collected from surveys of hospital administrators and archives of the Center for Medicare …
Whole Health Peer Pathway And Conventional Medicine To Promote Health In Diabetic Veterans, Delcina D Augustin Doreus
Whole Health Peer Pathway And Conventional Medicine To Promote Health In Diabetic Veterans, Delcina D Augustin Doreus
Walden Dissertations and Doctoral Studies
AbstractThe Veterans Health Administration has been one of the first to adopt the Whole Health approach in combination with therapeutic treatment, which is recommended to promote disease management and prevention of comorbidities associated with diabetes. However, this modality has not been adopted by the health care system. The purpose of this study was to examine the association between the veterans who have been in the Whole Health Program in combination with therapeutic treatment and those who have only been focusing on the therapeutic treatment regimen. The variables were A1C levels and adhering to medication renewal to determine whether veterans in …